Eksempler på bruk av P-gp substrates på Engelsk og deres oversettelse til Norsk
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Interaction of P-gp substrates.
P-gp substrates including digoxin, cyclosporine.
Effects of afatinib on P-gp substrates.
P-gp substrates: Lomitapide inhibits P-gp in vitro, and may increase the absorption of P-gp substrates.
Effect of fidaxomicin on P-gp substrates.
Other P-gp substrates for which a dose reduction may be considered include ticagrelor and dabigatran-etexilate.
Effect of ticagrelor on other P-gp substrates has not been studied.
Ticagrelor is also a P-gp substrate and a weak P-gp inhibitor andmay increase the exposure of P-gp substrates.
Therefore, concomitant treatment with other P-gp substrates could lead to enhanced toxicity.
As regards other P-gp substrates such as dabigatran, a clinical monitoring is recommended in case of combination with vandetanib.
Based on in vitro studies,empagliflozin is considered unlikely to cause interactions with drugs that are P-gp substrates.
Therefore could interact with other P-gp substrates(for example, digoxin, doxorubicin) or other.
P-gp substrates or weak inhibitors: No relevant interactions with atenolol, digoxin, amlodipine or cimetidine have been observed.
Based on these results and in vivo drug interaction studies,linagliptin is considered unlikely to cause interactions with other P-gp substrates.
Lower doses of substances which are P-gp substrates(e.g. digoxin, colchicine, dabigatran, phenytoin, pravastatin) may be required.
The potential for inhibition of P-gp by mirabegron should be considered when Betmiga is combined with sensitive P-gp substrates e.g. dabigatran.
Unitinib used to treat cancer of the kidney medicines which are P-gp substrates such as digoxin, vincristine, colchicine, dabigatran, lenalidomide, paclitaxel.
Clinically relevant interactions are expected with CYP3A4 and CYP2B6 substrates and by extrapolation, UGTs,CYP2C and P-gp substrates(see section 4.5).
However, a larger effect on P-gp substrates with lower bioavailability more sensitive to intestinal P-gp inhibition such as dabigatran etexilat cannot be excluded.
However, based on clinical data it is considered unlikely that GIOTRIF treatment will result in changes of the plasma concentrations of other P-gp substrates.
It is therefore recommended that co-administration of ulipristal acetate and P-gp substrates(e.g. dabigatran etexilate, digoxin, fexofenadine) should be separated in time by at least 1.5 hours.
Caution is advised when starting or stopping zonisamide treatment orchanging the zonisamide dose in patients who are also receiving medicinal products which are P-gp substrates e.g. digoxin, quinidine.
The effect of enzalutamide on P-gp substrates has not been evaluated in vivo; however, under conditions of clinical use, enzalutamide may be an inducer of P-gp via activation of the nuclear pregnane receptor PXR.
Milbemycin oxime is a substrate for P-glycoprotein(P-gp) and therefore could interact with other P-gp substrates(for example, digoxin, doxorubicin) or other macrocyclic lactones.
An in vitro study shows that zonisamide is a weak inhibitor of P-gp(MDR1) with an IC50 of 267 µmol/l andthere is the theoretical potential for zonisamide to affect the pharmacokinetics of substances which are P-gp substrates.
Spinosad and milbemycin oxime have been shown to be substrates for P-glycoprotein(P-gp) andtherefore could interact with other P-gp substrates(for example, digoxin, doxorubicin) or other macrocyclic lactones.
Therefore, when temsirolimus is co-administered with medicinal products which are P-gp substrates(e.g. digoxin, vincristine, colchicine, dabigatran, lenalidomide, and paclitaxel) close monitoring for adverse events related to the co-administered medicinal products should be observed.
Caution should be exercised when dosing vemurafenib concurrently with P-gp substrates(e.g. aliskiren, ambrisentan, colchicine, dabigatran etexilate, digoxin, everolimus, fexofenadine, lapatinib, maraviroc, nilotinib, posaconazole, ranolazine, sirolimus, sitagliptin, talinolol, topotecan) and dose reduction of the concomitant medicinal product may be considered, if clinically indicated.
Concomitant administration of the P-gp substrate dabigatran etexilate may result in increased dabigatran plasma concentrations.
Lomitapide is not a P-gp substrate but does inhibit P-gp. .
